In crisis? Call or text 988 (Suicide & Crisis Lifeline) · Overdose emergency? Call 911
Simple on purpose

What actually happens, start to finish

No referral chain, no intake packet you have to mail in, no waiting room. Here is the whole process.

1 · Reach out

Request a time online. Same-day appointments are available. Tell us your insurance — we verify it before you owe anything.

2 · Meet by video

A private, 100% virtual visit with a licensed physician — from home, your car, anywhere. You'll talk through your history and goals and build a plan together.

3 · Start and stay supported

When treatment is appropriate, your prescription is sent electronically to your pharmacy. Follow-ups keep you steady.

Your first visit

The appointment itself

Your first visit is a conversation with a physician, usually 30 to 60 minutes. You'll cover what you've been using and for how long, what you've already tried, your medical history, and what you want your life to look like.

Then you decide together whether buprenorphine is the right treatment. If it is, and if it's clinically appropriate to start right away, your prescription is sent electronically to the pharmacy you choose during the visit.

You will not be lectured. You will not be asked to prove you deserve treatment. Being honest about what you're using makes the care safer, so honesty is the only thing we actually need from you.

What to have ready

  • A phone, tablet, or computer with a camera
  • A private spot where you can talk for 30 minutes
  • Your insurance card, if you have one
  • The name of the pharmacy you want to use
  • Any current medications, including doses

No app to install ahead of time and no tech skills required. We send a link — you tap it.

Can Suboxone really be prescribed over video?

Generally, yes. Federal and state rules currently permit buprenorphine to be prescribed following a telehealth evaluation, including for patients new to a practice. This is a deliberate policy choice: the evidence is clear that expanding access to buprenorphine saves lives, and telehealth is one of the most effective ways to expand it.

These rules have changed several times in recent years and can change again. Your physician will confirm what applies to your situation at your visit and will tell you plainly if an in-person step is required. We will never let a rule change quietly interrupt your medication without telling you.

After the first visit

  • Follow-ups. More frequent at the start, spacing out as you stabilize.
  • Refills. Sent electronically to your pharmacy; we track your schedule so you don't run out.
  • Adjustments. If the dose isn't holding you, say so. Getting the dose right is normal and expected.
  • Coordination. With your permission, we'll coordinate with your primary care provider or counselor.

What this practice is not

Being straight with you about scope matters. This is an outpatient telehealth practice. It is not detox, not inpatient or residential treatment, not a methadone program, and not an emergency service. If your situation calls for a higher level of care, we will say so directly and help you find it rather than keeping you in the wrong setting.

If you need help right now

Overdose or medical emergency — call 911. Suicidal thoughts or a mental-health crisis — call or text 988. For free, confidential, 24/7 treatment referrals anywhere in the U.S., call SAMHSA at 1-800-662-HELP (4357). This website cannot respond to emergencies.

Ready when you are

Same-day appointments are available. Every visit is 100% virtual — one video call is all it takes to get started.

Confidential · 100% virtual · NC Medicaid accepted · Serving all 100 North Carolina counties.

Request an appointment